Individual
JEFFREY GAGE HAUGLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3721 EXECUTIVE CENTER DR STE 201, AUSTIN, TX 78731-1639
(817) 292-8787
(817) 789-6849
Mailing address
3721 EXECUTIVE CENTER DR STE 201, AUSTIN, TX 78731-1639
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2137140
TX
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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